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FIRST COAST HEART & VASCULAR CENTER, P.A.
NPI 1366795742
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Active since October 22, 2012CLIA Certified · 3 labs
3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 32216(904) 423-0010(904) 423-0012 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 25, 2022, Apr 22, 2022, Aug 9, 2021 and 1 more (4 updates tracked since 2016).

About First Coast Heart & Vascular Center, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST COAST HEART & VASCULAR CENTER, P.A. (NPI 1366795742) is a healthcare organization registered as a cardiovascular disease in Jacksonville, Florida and active in the NPI registry since October 2012. The organization holds 3 active CLIA laboratory certificates and lists Daniel M. Blumenthal, Owner, as its authorized official.

NPPES Registry Identity

NPI1366795742
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameFIRST COAST HEART & VASCULAR CENTER, PA
Location Address3901 UNIVERSITY BLVD S, SUITE 221Jacksonville, FL 32216-4312
Mailing AddressPo Box 47170Jacksonville, FL 32247-7170 · (904) 423-0010 · Fax (904) 423-0012
Phone(904) 423-0010
Fax(904) 423-0012
Organization SubpartNo
Authorized OfficialDaniel M. BlumenthalOwner · (617) 694-1113
Enumeration DateOctober 22, 2012
Last NPPES UpdateApril 25, 20224 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1366795742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3901 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Other Names 1

Other NameFirst Coast Heart & Vascular Center, P.a.

Other Identifiers 1

OtherGX939AFL · Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

First Coast Heart & Vascular Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to First Coast Heart & Vascular Center, P.A., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner12
Cardiovascular Disease (Cardiology)10
Interventional Cardiology4
Cardiac Electrophysiology2
Diagnostic Radiology1
Internal Medicine1

Nearest to this location (20)

See all 30
Larry Crisco, MD
Interventional Cardiology
NPI 1952395782
3901 UNIVERSITY BLVD S SUITE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts MedicareSame address
Christopher Edwards, DO
Cardiovascular Disease (Cardiology)
NPI 1821307877
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts MedicareSame address
Margaret Gannaway, ARNP
Nurse Practitioner
NPI 1396779963
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOSSame address
Kevin Hayes, D.O.
Cardiovascular Disease (Cardiology)
NPI 1568683795
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts MedicareSame address
Miciah Jones
Interventional Cardiology
NPI 1649544644
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(309) 781-1129
✔ PECOS✔ Accepts MedicareSame address
Dinesh Pubbi, M.D.
Cardiac Electrophysiology
NPI 1861454423
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts MedicareSame address
Patricia Setnicky, AGACNP-BC
Nurse Practitioner
NPI 1144671488
3901 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 423-0010
✔ PECOSSame address
Sunil Singh, MD
Interventional Cardiology
NPI 1215171004
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts MedicareSame address
Ameeth Vedre, MD
Diagnostic Radiology
NPI 1578643474
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts MedicareSame address
Vincent Caracciolo, M.D.
Cardiovascular Disease (Cardiology)
NPI 1952446908
3901 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts Medicare0.1 mi
Chanel Starke, APRN
Nurse Practitioner
NPI 1568023844
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare9.7 mi
Runelon Alcudia, ARNP
Nurse Practitioner
NPI 1518473370
2140 KINGSLEY AVE STE 14
Orange Park, FL 32073
(904) 276-7997
✔ PECOS✔ Accepts Medicare12 mi
Maedeh Ganji, MD
Internal Medicine
NPI 1598182552
1320 ROBERTS DR STE 101
Jacksonville Beach, FL 32250
(904) 241-7147
✔ PECOS✔ Accepts Medicare12 mi
David Grech, MD
Cardiovascular Disease (Cardiology)
NPI 1336128792
1679 EAGLE HARBOR PKWY STE B
Orange Park, FL 32003
(904) 375-8100
✔ PECOS✔ Accepts Medicare14 mi
Rochelle Bardis, APRN
Nurse Practitioner
NPI 1932685856
400 COLONNADE DR STE 230
Ponte Vedra, FL 32081
(904) 271-7540
✔ PECOS✔ Accepts Medicare16 mi
Elizabeth Mcquagge, APRN
Nurse Practitioner
NPI 1346852274
400 COLONNADE DR STE 160
Ponte Vedra, FL 32081
(904) 824-1020
✔ PECOS16 mi
Marcie Houser, ARNP
Nurse Practitioner
NPI 1669716239
400 HEALTH PARK BLVD
St Augustine, FL 32086
(904) 819-5155
✔ PECOS✔ Accepts Medicare34 mi
Amir Abdoly, DO
Interventional Cardiology
NPI 1861938383
3025 SHRINE RD STE 290
Brunswick, GA 31520
(912) 466-7660
✔ PECOS✔ Accepts Medicare62 mi
Sebastian Carrasquillo Montalvo, MD
Cardiovascular Disease (Cardiology)
NPI 1013304179
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 273-9079
✔ PECOS✔ Accepts Medicare63 mi
Neil Sanghvi, M.D.
Cardiac Electrophysiology
NPI 1568598159
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 273-9079
✔ PECOS✔ Accepts Medicare63 mi
See all 30 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2273062

First Coast Heart & Vascular Center, PA · Jacksonville, FL
Active · expires Dec 5, 2026
CLIA Number10D2273062
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorKevin Hayes
Laboratory Phone(904) 423-0010
Laboratory LocationFirst Coast Heart & Vascular Center, PA3901 University Blvd S - Ste 237, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2052735

First Coast Heart And Vascular Center PLLC · Jacksonville, FL
Active · expires Jan 16, 2027
CLIA Number10D2052735
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorKevin Hayes
Laboratory Phone(904) 423-0010
Laboratory LocationFirst Coast Heart And Vascular Center PLLC3901 University Blvd S, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2191777

First Coast Heart & Vascular Center PA · Saint Augustine, FL
Active · expires Aug 31, 2028
CLIA Number10D2191777
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorVincent Caracciolo
Laboratory Phone(904) 423-0010
Laboratory LocationFirst Coast Heart & Vascular Center PA100 Whetstone Pl - Ste 310, Saint Augustine, FL 32086
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Coast Heart & Vascular Center, PA's NPI number?

The NPI number for First Coast Heart & Vascular Center, PA is 1366795742. It was assigned to this organization in the NPPES registry on October 22, 2012. The provider is also known as First Coast Heart & Vascular Center, P.A..

Where is First Coast Heart & Vascular Center, PA located?

First Coast Heart & Vascular Center, PA is located at 3901 University Blvd S Suite 221, Jacksonville, FL 32216. The listed phone number is (904) 423-0010.

What is First Coast Heart & Vascular Center, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is First Coast Heart & Vascular Center, PA enrolled in Medicare?

Yes. First Coast Heart & Vascular Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Coast Heart & Vascular Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 6 Medicare specialties reassign their Medicare billing to First Coast Heart & Vascular Center, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Cardiovascular Disease (Cardiology) (10) and Interventional Cardiology (4). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does First Coast Heart & Vascular Center, PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does First Coast Heart & Vascular Center, PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list First Coast Heart & Vascular Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for First Coast Heart & Vascular Center, PA was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.